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PRINTED: 05/19/2022 FORM APPROVEDDEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION
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The complaint in00377972 - unsubstantiated refers to an allegation or concern that has not been proven or supported with evidence.
The individual or organization that has information or evidence related to the complaint in00377972 - unsubstantiated is required to file it.
To fill out the complaint in00377972 - unsubstantiated, one must provide detailed information about the alleged issue, any relevant documentation or evidence, and contact information for follow-up.
The purpose of the complaint in00377972 - unsubstantiated is to address and investigate concerns or allegations that have been brought forward but lack substantiated proof.
The complaint in00377972 - unsubstantiated must include specific details about the alleged issue, any supporting evidence or documentation, and contact information for the individual or organization filing the complaint.
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